Individual
DR. JESSICA LYNN SAURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 EXECUTIVE PARK DR NE FL 5, ATLANTA, GA 30329-2206
(404) 712-6378
Mailing address
711 OAKVIEW RD APT 19, DECATUR, GA 30030-4333
(207) 671-8622
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY004641
GA
103TC0700X
Clinical Psychologist
PSY004641
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY004641
PSYCHOLOGIST LICENSE
GA
Enumeration date
10/07/2022
Last updated
10/07/2022
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